Life of the Tube

The art of post-intubation management

 

 
 
 

Charlie Eisele, BS, NREMT-PJimmie Meurrens, BS, NREMT-P | | Tuesday, August 26, 2008


Is the juice worth the squeeze?

We ask ourselves that after every prehospital journal or magazine article we read. When we dive into the literature, we want to come out more knowledgeable and capable of using the information on our next call.

If you're like us, you like to know that you didn't waste 20 minutes or more reading something that's going to take another class or special permission to use. So we promise that after consuming the information in this article, you'll be able to immediately apply it and improve the level of care you deliver in the field.

Wake-Up Call

Nationally recognized EMS textbook author andJEMS contributing author Bryan E. Bledsoe, DO, FACEP, recently wrote, "[Endotracheal intubation] is problematic and the procedure should probably be stopped." He added, "Everybody better get used to LMAs, Combi-Tubes and similar rescue airways because routine prehospital ETI is probably a thing of the past."

For those who haven't heard about recent studies on the success rates and efficacy of prehospital intubation, Bledsoe's comments might seem like a step backward in prehospital medicine. But his concern is valid. Several prominent studies have strengthened a growing concern about this intervention, and as EMS professionals, we can't ignore what the science is showing us.

Specifically, we should note the findings from a St. Luke's-Roosevelt Hospital, Columbia University 2004 study. The researchers found that endotracheal (ET) tubes placed by paramedics in the prehospital setting were incorrectly placed "at a concerning rate


Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Airway and Respiratory, Patient Management, Training

 
What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS





 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Innovation & Progress

Follow in the footsteps of these inspirational leaders of EMS.
More >

Multimedia Thumb

New Item on Iowa Helicopter Helps Save Patient’s Life

Supply of blood recently added to LifeFlight helicopter.
Watch It >


Multimedia Thumb

Shooting Inside Pennsylvania Hospital

Early reports of one person dead in Darby hospital.
Watch It >


Multimedia Thumb

Anchorage Chief Proposes Shifting Fire, Medic Crews

Officials debate ways to reduce paramedic burnout.
Watch It >


Multimedia Thumb

Kansas City Woman Thanks EMTs Who Saved Her Life

CPR save highlights community awareness program
Watch It >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


More Product Videos >